Patient Monitoring from
NIHON KOHDEN
NIHON KOHDEN Patient Monitoring
The System
Innovative, economical, reliable
The patient monitoring family from NIHON KOHDEN offers solutions for innovative, reliable and economical patient monitoring.
Besides general patient monitoring, the NIHON KOHDEN system features excellent telemetric monitoring solutions as well as
flexible and comprehensive support of hospital documentation.
The NIHON KOHDEN system is uniquely user-friendly. Advanced development of new parameters improves non-invasive patient
monitoring (e.g., PWTT, CO2). From a technical standpoint, the multiconnector technology is setting benchmarks – in flexibility
and economy. Thanks to the quality of the products, reliability is high and follow-up costs are low.
Transport concept
Multiparameter Monitoring
Remote access to vital data
RS-232C output
(on all bedside monitors)
Hospital network interface solution
Simple selection via the Internet browser
Internet browser
Access to data from patient monitors
via the hospital network.
HIS
PDMS
EPR
DataLog
HL7 Gateway Server QP-993PK
(up to 128 beds, numerical and
graphical data output)
Internet
BSM-2301 (8,4")
BSM-2303 (8,4")
BSM-2351 (10,4")
BSM-2353 (10,4")
BSM-6301 (10,4")
BSM-6501 (12,1")
BSM-6701 (15")
BSM-9100 (15", 17", 19")
Internet browser
Firewall
Input Unit
Input Unit
Smart Expansion Unit
(1 multiconnector) (3 multiconnectors) (2 multiconnectors)
AY-661P
AY-663P
AA-672P
Input Units available with SpO2 technologies from:
Smart Expansion Unit
(4 multiconnectors)
AA-674P
Nellcor (AY-653P/651P),
Data Acquisition Unit
(4 multiconnectors) (without multiconnectors)
JA-694PA
JA-690PA
Available special parameters:
CO2 mainstream (e.g., CapONE),
CO2 sidestream (Microstream
Technology), depth of anesthesia
(BISx), anesthesia gas measurement (optional with spirometry),
relaxation (TOF Watch), continuous cardiac output measurement
(e.g., Vigileo, Picco) etc.
NetKonnect Server
HL7 Gateway Server QP-982PK
(up to 32 beds, numerical and
graphical data output)
NetKonnect LT
Direct access to the
patient monitoring network
Masimo (AY-633P/631P).
WLAN Information – Supported standards: IEEE 802.11b / g / a, security: WEP, WPA, WPA2, AES, AES-OBC, TKIP
PDMS cooperation partner:
Vital Sign Monitoring
network
Defibrillators
(LAN, W-LAN, digital telemetry)
Central Monitoring
Digital telemetry
Patient transmitterTelemetry central monitor
Telemetry receiving unit
OPV-1500
Non-invasive
Multi Parameter Monitor
TEC-5521 / 31
OLV-3100
Pulse Oximeter
OLV-2700
Pulse Oximeter
Nurse call/
light call
system interface
OLG-2800
Capnograph
2
Software for analyzing capnographic
measurement results
= limited communication ability
ZS-910PG
ZS-920PG
ZS-930PG
ORG-9100
RS-232C
information
To control a nurse call or light call system, the
interface offers a configurable contact for every
bed and patient. Output of differentiated alarm
data is available on request.
ZS-900PG
WEP-5200
TEC-7721 / 31
CNS-9701
(up to 16 patients)
Optional: Full Disclosure, ECG Interpretation Software ECAPS 12
ZS-940PG
ZM-920PG*
ZM-930PG*
* in conjunction with
ORG-9100 and CNS-9701
Mounting device and
trolley solutions
cooperation partners:
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Networking – Basis for effective information management
Network and NetKonnect
NIHON KOHDEN offers three different communication options between patient monitors or patient and central monitors: hardwired (LAN), wireless (WLAN) and digital telemetry.
The structure of the network is based on user requirements. NIHON KOHDEN recommends physically separating the patient
monitoring network from the hospital network as the safest and most cost-efficient solution for networked patient monitoring. If
preferred, the system can be integrated into the hospital network after on-site testing and provided NIHON KOHDEN specifications for secure patient monitoring are met.
The availability of a network structure is the basis for system-relevant functions of a patient monitoring system. The NIHON
KOHDEN patient monitoring system includes an extraordinarily comprehensive inter-bed function. This function enables individual and targeted access to data on a remote patient monitor. Furthermore, it offers simultaneous display of data from patient
monitors of an entire care group – independent of a central monitor.
The NetKonnect server, a PC-based server system, is the interface between the patient monitoring system and the hospital network. This interface is used for accessing vital signs data on a patient monitor in the network – from anywhere on the ward, in
the hospital, or outside the hospital.
Hospital network
(HIS / CIS)
OR
HL7 Gateway
Physician’s PC
ICU
NetKonnect
Server
CCU
Firewall
NICU
Regular ward
Internet
Regular ward
Web browser
Transmitter
Documentation
To support clinical documentation, NIHON KOHDEN offers two interfaces for linking data management systems. One is a traditional RS-232C interface, which allows cost-efficient and simple patient monitor integration into the hospital’s data
management architecture. The other is an HL7 gateway server (QP-993PK), which
can bundle the communications from up to 128 patient monitors and forward them to the hospital’s data management systems.
Numerical and graphical data such as arrhythmia results, results of our 12-channel ECG analysis function, full disclosure information and other data are transferred to the data management system. The data supplied by the NIHON KOHDEN patient monitoring system feeds directly into quality analyses and accounting tasks, thereby contributing to the efficiency and effectiveness
of hospital operations.
4
Telemetry – Wireless Patient Monitoring
Tradition, Perspective, and Outlook
Telemetry has traditional significance in monitoring post-infarction patients. NIHON KOHDEN goes one step further, with the introduction
of the first multiparameter transmitter integrated into the NIBP cuff
(NIBP-noninvasive blood pressure). The transmitter is a comfortable
and flexible way to monitor patients wirelessly, supporting early patient
remobilization. The patient can get out of bed while his or her basic
parameters are still being monitored.
In the USA and Australia, new approaches are being developed to improve patient monitoring and patient outcomes. Rapid Response Teams (also known as Medical Emergency Teams) are being put
in place, which can contribute to lowering the in-patient mortality rate. *, ** These Rapid Response Teams enable early intervention, contributing to the quality of patient care. They also contribute financially -- early introduction of treatment measures after
an episode can have a positive effect on the patient’s length of stay.
The NIHON KOHDEN multiparameter transmitter ZS-940PG provides data on four to seven criteria that were defined in the US
and Australia for mobilising the Rapid Response Teams. It therefore supports the quality of patient monitoring, the clinical outcome and the cost-effectiveness of patient care.
* Bellomo R, Goldsmith D, Uchino S, et al. A prospective before-and-after trial of a medical emergency team. Medical Journal of Australia. 2003; 179(6): 283-287
**Institute for Healthcare Improvement (Cambridge, Massachusetts, USA), www.ihi.org
NIHON KOHDEN Transmitters
Monitor transmitter
For telemetric data transmission from bedside monitors to a central monitor.
ZS-900PG
ZM-920PG
Patient transmitter with single-lead ECG
Patient transmitters that optionally provide respiratory
and pulse oximetry data in addition to ECG monitoring.
ZS-910PG
Patient transmitter with multi-lead ECG
Patient transmitters that optionally provide respiratory and
pulse oximetry data in addition to multiple ECG leads.
ZS-920PG
ZS-930PG
ZM-930PG
Multiparameter patient transmitter
A patient transmitter with ECG monitoring, vital respiratory
and pulse oximetry data and NIBP measurement integrated
into the NIBP cuff.
ZS-940PG
5
Accessories – The basis for reliable patient monitoring
NIHON KOHDEN accessories for patient monitoring:
Focused on patient safety and user-friendliness
The range of NIHON KOHDEN SpO2 probes is extremely accurate and
robust. The probes from the BluPRO® family are also washable. With the
new P311C probe, NIHON KOHDEN developed an SpO2 probe that can
remain at a measuring site longer than conventional probes. On average, a reusable SpO2 probe must be relocated to a new measuring site
after 4 hours. The new P311C probe doubles the time to 8 hours. It
supports both care and work processes as well as patient safety.
In the field of capnography, NIHON KOHDEN has the most innovative
and comprehensive portfolio of CO2 sensors in patient monitoring.
NIHON KOHDEN developed the first mainstream sensor (CapONE) for
intubated and non-intubated patients. Thanks to its proximity to the
patient, the sensor delivers top-quality measurement results, especially
when monitoring non-intubated patients breathing oro-nasally or purely
orally. Its versatility makes it a cost-effective solution.
The interface between the patient and the monitor also determines the
quality and reliability of the patient monitoring system. In other words,
accessory components contribute significantly to optimal patient monitoring. NIHON KOHDEN therefore works continually on refining its measuring algorithm for non-invasive blood pressure (NIBP). Hence patient
movement during NIBP measurement is becoming less and less a factor. The new Yawara NIBP cuff, made of skin-friendly materials, virtually
eliminates trauma to the patient’s arm.
6
A patient monitoring system for every need
Anesthesia
The intuitive operation of NIHON KOHDEN patient monitors supports
the anesthetist particularly in the critical phases of anesthesia, such as
start and termination. Concentration can remain largely on the patient.
The supply of comprehensive hemodynamic and gas measurement
values makes NIHON KOHDEN patient monitors a reliable partner to
the anesthetist.
Intensive care
The flexibility, innovative components and reliability of the NIHON KOHDEN
patient monitoring system enable the creation of both individual and yet
economical solutions for every user. In particular, the documentation of
patient vital signs is growing in importance, and NIHON KOHDEN is meeting that need with a broad array of numerical and graphical patient data.
The data is made available by the HL7 Gateway Server from NIHON
KOHDEN.
Neonatal and Pediatric ICU
To adequately monitor rapid hemodynamic changes in infants, a wealth
of data is needed. NIHON KOHDEN supports this requirement through
different OCRGs (oxycardiorespiragrams). For this area of care in particular, NIHON KOHDEN offers specially developed SpO2 probes, NIBP
cuffs, ECG leads and other accessories.
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NIHON KOHDEN EUROPE GmbH
Raiffeisenstraße 10
61191 Rosbach
Germany
Telephone: +49 (0) 60 03/8 27-0
Fax:
+49 (0) 60 03/8 27-599
E-mail:
info@nke.de
www.nihonkohden.de
NIHON KOHDEN FRANCE SARL
8, rue François Delage
94230 Cachan
France
Telephone: +33 (0) 149 08 05 50
Fax:
+33 (0) 149 08 93 32
E-mail:
info@nkfrance.fr
www.nihonkohden.fr
NIHON KOHDEN IBERICA S.L.
C/Ulises, 75 A
28043 Madrid
Spain
Telephone: +34 91 716 10 80
Fax:
+34 91 300 46 76
E-mail:
info@nkib.es
Vol. 1
www.nihonkohden.es
NIHON KOHDEN ITALIA S.r.l.
Via San Tomaso 78
24121 Bergamo
Telephone: +39 035 21 95 43
Fax:
+39 035 23 25 46
E-mail:
info@nkitaly.com
www.nihonkohden.it
Dealers
PMS-e -04/09
Italy